<!DOCTYPE html>

<html lang="en">
    <head>
        <meta charset="utf-8" />
        <title></title>
    </head>
    <body>
        <form >
            Rut Migrante: <input type="text" name="rut"><br>

            Inicio:<input type="date" name="FECHA"><br>
        Inicio:<input type="time" name="inicio"><br>
        Término:<input type="time" name="FIN"><br>
        <select> </select>
        <select>
            <optgroup label="Sucursal A">
                <option value="A1">Profesional 1</option>
                <option value="A2">Profesional 2</option>
              </optgroup>
              <optgroup label="Sucursal B">
                <option value="B1">Profesional 3</option>
                <option value="B2">Profesional 4</option>
              </optgroup>
        </select><br>

<input type="submit" value="Guardar">
         <input type="submit" value="Limpiar">
        </form>
        
    </body>
</html>
